Methods for treating cognitive disorders using 3-aryl-3-hydroxy-2-amino-propionic acid amides, 3-heteroaryl-3-hydroxy-2-amino-propionic acid amides and related compounds

ABSTRACT

Disclosed herein are methods of treating a patient suffering from a cognitive disorder using compounds of Formulas (1) and (2) wherein the variables have the meaning disclosed in the specification.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is based on, and claims the benefit of, U.S.Provisional Application No. 60/893,196, filed Mar. 6, 2007, and which isincorporated herein by reference.

BACKGROUND OF THE INVENTION

The present invention is directed to methods of treating a patientsuffering from one or more types of cognitive disorders usingderivatives of 3-aryl-3-hydroxy-2-amino-propionic acid amides,3-heteroaryl-3-hydroxy-2-amino-propionic acid amides, and relatedcompounds.

Several compounds falling within one or more of the general definitionsas “derivatives of 3-aryl-3-hydroxy-2-amino-propionic acid amides, of3-heteroaryl-3-hydroxy-2-amino-propionic acid amides, of1-aryl-1-hydroxy-2,3-diamino-propyl amines,1-heteroaryl-1-hydroxy-2,3-diamino-propyl amines” are known in thepatent and scientific literature. For example, United States PatentApplication Publication Nos. 2003/0153768 and 2003/0050299 discloseseveral examples of the above-mentioned known compounds.

Illustrative specific examples of compounds of these references areshown below:

The publication Shin et al. Tetrahedron Asymmetry, 2000, 11, 3293-3301discloses the following compounds:

U.S. Pat. Nos. 5,945,442; 5,952,370; 6,030,995 and 6,051,598, which areall related to each other as being based on same or related disclosures,describe compounds which are structurally similar to the known compoundsshown above.

A publication in Journal of Labelled Compounds & Radiopharmaceuticals(1996), 38 (3), 285-97 discloses the compound of the formula

Published PCT application WO 01/38228 discloses

in connection with a chromatographic method.

Kastron et al. in Latvijas PSR Zinatnu Akademijas Vestis, Kimijas Serija(1965) (4), 474-7 disclose the following compound.

SUMMARY OF THE INVENTION

The present invention is directed to methods of treating a patientsuffering from one or more types of cognitive disorders using compoundsof Formula 1

where R₁ is H or alkyl of 1 to 6 carbons,R₂ is H, alkyl of 1 to 6 carbons or the R₁ and R₂ groups together withthe nitrogen form a saturated or unsaturated 4, 5, 6 or 7 membered ringthat optionally includes one or two heteroatoms independently selectedfrom N, O and S, said 4, 5, 6 or 7 membered ring optionally beingsubstituted with one or two COOH, CH₂OH, OH, B(OH)₂, cyano or halogengroups or with one or two alkyl groups having 1 to 6 carbons, or one ortwo carbons of said rings being attached to an oxygen to form ketogroups and said 4, 5, 6 or 7 membered ring optionally being condensedwith an aromatic or non-aromatic 5 or 6 membered ring that optionallyincludes 1 or heteroatoms selected from N, O and S;R₃ is independently selected from H, alkyl of 1 to 20 carbons,cycloalkyl of 3 to 6 carbons, aryl or heteroaryl, aryl-alkyl,aryl-(hydroxy)alkyl, heteroaryl-alkyl or hetero-(hydroxy)alkyl where thealkyl moiety has 1 to 4 carbons, said aryl or heteroaryl groups beingoptionally substituted with 1 to 3 groups independently selected fromthe group consisting of halogen, alkyl of 1 to 6 carbons, alkoxy of 1 to6 carbons and thioxy of 1 to 6 carbons, or R₃ is CO—R₇, SO₂R₇ or CO—O—R₇where R₇ is H, alkyl of 1 to 1 to 20 carbons, alkyl of 1 to 20 carbonssubstituted with and NH₂ group or with an NH—COalkyl group where thealkyl group has one to 6 carbons, aryl or heteroaryl, aryl-alkyl orheteroaryl-alkyl where the alkyl moiety has 1 to 4 carbons, said aryl orheteroaryl groups being optionally substituted with 1 to 3 groupsindependently selected from the group consisting of halogen, alkyl of 1to 6 carbons, alkoxy of 1 to 6 carbons and thioxy of 1 to 6 carbons;R₄ is H, alkyl of 1 to 6 carbons or CO—R₈ where R₈ is alkyl of 1 to 6carbons; the wavy lines represent bonds connected to carbons having R orS configuration;the dashed lines represent a bond or absence of a bond with the provisothat the ring containing the dashed lines is aromatic;m, n and q are integers independently selected from 0, 1, 2 or 3 withthe proviso that the sum of m, n and q is 2 or 3;s is zero (0) or when X is N then s is zero (0) or 1;W, X and Y independently represent a CH, CR₅, CR₆ or a heteroatomselected independently of N, O and S, andR₅ and R₆ are independently selected from H, halogen, alkyl of 1 to 6carbons, halogen substituted alkyl of 1 to 6 carbons, alkoxy of 1 to 6carbons and thioxy of 1 to 6 carbons, phenyl, orR₅ and R₆ together with the atoms to which they are attached jointlyform a carbocyclic or a heterocyclic ring, the carbocyclic ring having 5or 6 atoms in the ring, the heterocyclic ring having 5 or 6 atoms in thering and 1 to 3 heteroatoms independently selected from N, O and S;said carbocyclic or heterocyclic ring jointly formed by R₅ and R₆ beingoptionally substituted with 1 to 6 R₉ groups where R₉ is independentlyselected from halogen, alkyl of 1 to 6 carbons, alkoxy of 1 to 6 carbonsand thioxy of 1 to 6 carbons or a pharmaceutically acceptable salt ofsaid compound with the proviso that Formula 1 does not cover compoundswhere R₄ is H, R₁ and R₂ jointly with the nitrogen form a pyrrolidino ormorpholino ring, the sum of m, n and q is 3, and none of W, X and Yrepresent a heteroatom with the further proviso that the formula doesnot cover the compounds of the formula below:

The present invention is also directed to methods of treating cognitivedisorders using the compounds of Formula 2

where R₁ is H or alkyl of 1 to 6 carbons,R₂ is H, alkyl of 1 to 6 carbons or the R₁ and R₂ groups together withthe nitrogen form a saturated or unsaturated 4, 5, 6 or 7 membered ringthat optionally includes one or two heteroatoms independently selectedfrom N, O and S, said 4, 5, 6 or 7 membered ring optionally beingsubstituted with one or two COOH, CH₂OH, OH, B(OH)₂, cyano or halogengroups or with one or two alkyl groups having 1 to 6 carbons, or one ortwo carbons of said rings being attached to an oxygen to form ketogroups and said 4, 5, 6 or 7 membered ring optionally being condensedwith an aromatic or non-aromatic 5 or 6 membered ring that optionallyincludes 1 or heteroatoms selected from N, O and S;R₃ is independently selected from H, alkyl of 1 to 20 carbons,cycloalkyl of 3 to 6 carbons, aryl or heteroaryl, aryl-alkyl,aryl-(hydroxy)alkyl, heteroaryl-alkyl or hetero-(hydroxy)alkyl where thealkyl moiety has 1 to 4 carbons, said aryl or heteroaryl groups beingoptionally substituted with 1 to 3 groups independently selected fromthe group consisting of halogen, alkyl of 1 to 6 carbons, alkoxy of 1 to6 carbons and thioxy of 1 to 6 carbons, or R₃ is CO—R₇, SO₂R₇ or CO—O—R₇where R₇ is H, alkyl of 1 to 1 to 20 carbons, alkyl of 1 to 20 carbonssubstituted with an NH₂, NHCOR₇ or NHCOOR₇ group, aryl or heteroaryl,aryl-alkyl or heteroaryl-alkyl where the alkyl moiety has 1 to 4carbons, said aryl or heteroaryl groups being optionally substitutedwith 1 to 3 groups independently selected from the group consisting ofhalogen, alkyl of 1 to 6 carbons, alkoxy of 1 to 6 carbons and thioxy of1 to 6 carbons;the wavy lines represent bonds connected to carbons having R or Sconfiguration;the dashed lines represent a bond or absence of a bond with the provisothat the ring containing the dashed lines is aromatic;R₉ and R₁₀ are independently H, alkyl of 1 to 6 carbons or OR₁₁, or R₉and R₁₀ jointly represent NOR₁₁ with the proviso that when the dashedlines between carbons 2 and 3 of the propionic acid moiety represents abond then R₁₀ does not exist and R₉ is not OR₁₁ with the further provisothat when R₉ is OR₁₁ then R₁₀ is not hydrogen;R₁₁ is H, alkyl of 1 to 6 carbons or CO—R₁₂ where R₁₂ is alkyl of 1 to 6carbons;m, n and q are integers independently selected from 0, 1, 2 or 3 withthe proviso that the sum of m, n and q is 2 or 3;s is zero (0) or when X is N then s is zero (0) or 1;W, X and Y independently represent a CH, CR₅, CR₆ or a heteroatomselected independently of N, O and S, andR₅ and R₆ are independently selected from H, halogen, alkyl of 1 to 6carbons, halogen substituted alkyl of 1 to 6 carbons, alkoxy of 1 to 6carbons and thioxy of 1 to 6 carbons, phenyl, orR₅ and R₆ together with the atoms to which they are attached jointlyform a carbocyclic or a heterocyclic ring, the carbocyclic ring having 5or 6 atoms in the ring, the heterocyclic ring having 5 or 6 atoms in thering and 1 to 3 heteroatoms independently selected from N, O and S;said carbocyclic or heterocyclic ring jointly formed by R₅ and R₆ beingoptionally substituted with 1 to 6 R₉ groups where R₉ is independentlyselected from halogen, alkyl of 1 to 6 carbons, alkoxy of 1 to 6 carbonsand thioxy of 1 to 6 carbons or a pharmaceutically acceptable salt ofsaid compound.

Any of the compounds described here may be used to treat a patientsuffering from a cognitive disorder, such as an agnosia, an amnesia, anaphasia, an apraxia, a delirium, a dementia, and a learning disorder.

DETAILED DESCRIPTION OF THE INVENTION

Most compounds that are useful in the method of the invention containone or more asymmetric centers, such that the compounds may exist inenantiomeric as well as in diastereomeric forms. In fact, most of thecompounds of the present invention have two asymmetric carbons adjacentto one another and therefore can exist in erythro or threo form, witheach of these two forms having dextrorotatory (D) or levorotary (L)enantiomers. Although the threo form is generally preferred inaccordance with the present invention, unless it is specifically notedotherwise, the scope of the present invention includes all enantiomers,diastereomers and diastereomeric or racemic mixtures. In light of theforegoing, it should be clearly understood that the designation “DL” or“(+/−)” or “(±)” in this application includes the pure dextrorotatoryenantiomer, the pure levorotatory enantiomer and all racemic mixtures,including mixtures where the two enantiomers are present in equal or inunequal proportions. Moreover, for simplicity sake in many of thestructural formulas, such as in the example below, only one of theenantiomers is actually shown but when the designation “DL” or “(+/−)”or “(±)” appears it also includes the enantiomeric form (mirror image)of the structure actually shown in the formula.

For example:

Thus, in the example above, only one enantiomer is shown, but becausethe designation “DL” (or “(+/−)” or “(±)”) appears below the formula,its optical isomer

and all racemic mixtures of the two optical isomers are also included.

In the case of some compounds of the present invention one enantiomer ofthe threo, and in some cases of the erythro, enantiomers issignificantly more active than the other enantiomer of the same pair.For this reason the isolated enantiomer which is significantly moreactive than the other is considered a novel and inventive compositioneven if the racemic mixture or the other opposite enantiomer of the samecompound have already been described in the prior art.

Some of the compounds that are useful in the method of the presentinvention contain three or more asymmetric centers. An example is thefollowing compound

named Compound 214 in the description. The formula shown in thedescription for Compound 214 indicates two compounds of the threoisomer, but the two compounds indicated are not mirror images of eachother, they are diastereomers. Another isomer pair is shown anddescribed as Compound 215.

Keeping the foregoing examples in mind the reader one of ordinary skillin the art should readily understand the scope of each describedexample, although in a broad sense all isomers, enantiomers and racemicmixtures are within the scope of the invention.

The term “alkyl” in the general description and definition of thecompounds includes straight chain as well as branch-chained alkylgroups.

Generally speaking the compounds of the invention may form salts withpharmaceutically acceptable acids or bases, and such pharmaceuticallyacceptable salts of the compounds of Formula 1 and of Formula 2 are alsowithin the scope of the invention.

Referring now to the novel compounds of Formula 1, in a class ofpreferred compounds of the invention none of the W, X and Y groups is aheteroatom. Within this class, compounds are preferred where the sum ofm, n and q is 3 and the aromatic group is unsubstituted or substitutedwith one or more halogen, alkyl of 1 to 6 carbons, or halogensubstituted alkyl of 1 to 6 carbons. Compounds within this class arealso preferred where the R₅ and R₆ groups form a carbocyclic ring, or aheterocyclic ring.

In another class of preferred compounds in accordance with Formula 1 oneof the variables W, X and Y represents a heteroatom, preferably nitrogenand the sum of m, n and q is 3.

In still another class of preferred compounds in accordance with Formula1 one or two of the variables W, X and Y represent a heteroatom,selected from N, O or S and the sum of m, n and q is 2.

Referring still to the compounds of Formula 1, compounds are preferredwhere R₄ is H or an acyl group, more preferably H.

With reference to the variables R₃, compounds in accordance with Formula1 are preferred where both R₃ groups are Hand where one R₃ group is Hand the other is benzyl, monohalogeno, dihalogeno, methyl or methoxysubstituted benzyl, cyclohexyl, an alkyl of 1 to 7 carbons, COR₇, COOR₇where R₇ is alkyl of 1 to 15 carbons, benzyloxy, phenyl, methoxyphenyl,monohalogen or dihalogeno substituted phenyl, a 2-hydroxy-1-phenylethylgroup or an alkyl group of 1 to 20 carbons itself substituted with anNH₂, NHCOR₇, or NHCOOR₇ group.

Referring now to the variables R₁ and R₂ in the compounds of Formula 1,compounds are preferred in accordance with the invention where R₁ and R₂jointly form a pyrrolidine, a 3-fluoro or a 3,3-difluoro or an 3-hydroxysubstituted pyrrolidine, a morpholine, a thiomorpholine, a piperazine,an alkyl substituted piperazine where the alkyl group has 1 to 6carbons, an azetidine, a tetrahydrothiazole, an indoline, or a 2H-pyrrolring or R₁ and R₂ are two alkyl groups of 1 to 3 carbons.

Referring now to the novel compounds of Formula 2, with respect to thevariables W, X, Y, m, n, q, R₁, R₂, R₅, R₆, R₃ compounds are generallypreferred in which these variables have the same preferences as incompounds of Formula 1.

With respect to R₉ and R₁₀, compounds are generally preferred where R₉and R₁₀ are both hydrogen, where one of these two variables is hydroxyand the other is alkyl of 1 to 6 carbons, where the R₉ and R₁₀ groupsjointly form an NOR₁₁ group, and where R₉ is hydrogen, the dashed linebetween carbons 2 and 3 represent a double bond and R₁₀ does not exist.With respect to R₁₁ compounds of Formula 2 are preferred where R₁₁ is H,or COR₁₂ where R₁₂ is alkyl of 1 to 3 carbons.

Presently still more preferred are Compounds of Formula 2 where R₁ andR₂ jointly with the nitrogen form a five-membered ring, where both R₃groups are hydrogen and where one of the R₃ groups is hydrogen and theother is formyl.

Biological Activity, Modes of Administration

The compounds described here may be used to treat a patient sufferingfrom one or more types of cognitive disorder, such as an agnosia, anamnesia, an aphasia, an apraxia, a delirium, a dementia, and a learningdisorder.

To “treat,” as used here, means to deal with medically. It includes, forexample, administering a compound of the invention to prevent the onsetof a cognitive disorder, to alleviate its severity, and to prevent itsreoccurrence.

The term “cognitive disorder,” as used here, means any conditioncharacterized by a deficit in mental activities associated withthinking, learning, or memory. Examples of such disorders includeagnosias, amnesias, aphasias, apraxias, deliriums, dementias, andlearning disorders.

In some cases, the cause of a cognitive disorder may be unknown oruncertain. In other cases, the cognitive disorder may be associated with(that is, be caused by or occur in the presence of) other conditionscharacterized by damage to or loss of neurons or other structuresinvolved in the transmission of signals between neurons. Hence,cognitive disorders may be associated with neurodegenerative diseasessuch as Alzheimer's disease, corticobasal degeneration,Creutzfeldt-Jacob disease, frontotemporal lobar degeneration,Huntington's disease, multiple sclerosis, normal pressure hydrocephalus,organic chronic brain syndrome, Parkinson's disease, Pick disease,progressive supranuclear palsy, or senile dementia (Alzheimer type); itmay be associated with trauma to the brain, such as that caused bychronic subdural hematoma, concussion, intracerebral hemorrhage, or withother injury to the brain, such as that caused by infection (e.g.,encephalitis, meningitis, septicemia) or drug intoxication or abuse.

Cognitive disorders may also be associated with other conditions whichimpair normal functioning of the central nervous system, includingpsychiatric disorders such as anxiety disorders, dissociative disorders,mood disorders, schizophrenia, and somatoform and factitious disorders;it may also be associated with conditions of the peripheral nervoussystem, such as chronic pain.

The compounds described here may be used to treat agnosias, amnesias,aphasias, apraxias, deliriums, dementias, learning disorders and othercognitive disorders regardless of whether their cause is known or not.

Examples of dementias which may be treated with the methods of theinvention include AIDS dementia complex, Binswanger's disease, dementiawith Lewy Bodies, frontotemporal dementia, multi-infarct dementia,Pick's disease, semantic dementia, senile dementia, and vasculardementia.

Examples of learning disorders which may be treated with the methods ofthe invention include Asperger's syndrome, attention deficit disorder,attention deficit hyperactivity disorder, autism, childhooddisintegrative disorder, and Rett syndrome.

Examples of aphasia which may be treated with the methods of theinvention include progressive non-fluent aphasia.

The compounds described here may also be used to treat patient havingdeficits in mental activities that are mild or that otherwise do notsignificantly interfere with daily life. Mild cognitive impairment is anexample of such a condition: a patient with mild cognitive impairmentdisplays symptoms of dementia (e.g., difficulties with language ormemory) but the severity of these symptoms is such that a diagnosis ofdementia may not be appropriate. The compounds described here may beused to treat mild cognitive impairment and other, similarly less severeforms of cognitive disorders.

Examples of Compounds of the Invention

Table 1, below, lists compounds which may be used in the method of theinvention.

TABLE 1 Compounds for use in the method of the invention Compound orcompound no. Chemical Formula L-threo- PDMP Available from Matreya, LLC

DL-erythro- PDMP Available from Matreya, LLC

D-threo- PDMP Available from Matreya, LLC

1

2

1:1 Racemic mixture

3

5

6

7

9

15

16

17

20

22

23

24

26

27

28

29

30

34

35

40

41

43

46

49

49

55

56

57

58

59

61

64

67

68

69

203

204

205

206

207

213

214

215

216

219

224

226

227

228

229

230

232

234

236

238

240

247

248

255

256

Any of the foregoing compounds, in addition to the compounds describedbelow, can be used in the methods of the invention to treat anycognitive disorder.

Modes of Administration

The compounds of the invention may be administered at pharmaceuticallyeffective dosages. Such dosages are normally the minimum dose necessaryto achieve the desired therapeutic effect; in the treatment of cognitivedisorders, the desired therapeutic effect is an improvement in cognitivefunctioning, or an alleviation of any of the symptoms associated withagnosia, amnesia, aphasia, apraxia, delirium, dementia, or learningdisorders. For human adults such doses generally will be in the range of0.1-5,000 mg/day; more preferably in the range of 1 to 3,000 mg/day, 10mg to 500 mg/day, 500 to 1,000 mg/day, 1,000 to 1,500 mg/day, 1,500 to2,000 mg/day, 2,000 to 2,500 mg/day, or 2,500 to 3,000 mg/day. However,the actual amount of the compound to be administered in any given casewill be determined by a physician taking into account the relevantcircumstances, such as the severity of the cognitive disorder, the ageand weight of the patient, the patient's general physical condition, thecause of the disorder, and the route of administration.

The compounds are useful in the treatment of cognitive disorders in amammal; particularly a human being. Preferably, the patient will begiven the compound orally in any acceptable form, such as a tablet,liquid, capsule, powder and the like. However, other routes may bedesirable or necessary, particularly if the patient suffers from nausea.Such other routes may include, without exception, transdermal,intraperitonial, parenteral, subcutaneous, intranasal, intrathecal,intramuscular, intravenous and intrarectal modes of delivery.Compositions useful in the method of the invention may further includean excipient. Such an excipient may be a carrier or a diluent; this isusually mixed with the active compound, or permitted to dilute orenclose the active compound. If a diluent, the carrier may be solid,semi-solid, or liquid material that acts as an excipient or vehicle forthe active compound. The formulations may also include wetting agents,emulsifying agents, preserving agents, sweetening agents, and/orflavoring agents. If used as in an ophthalmic or infusion format, theformulation will usually contain one or more salt to influence theosmotic pressure of the formulation.

EXAMPLES

The inventors demonstrated memory-enhancing activity with threecompounds of the invention. The passive avoidance task exploits thetendency for rodents to avoid environments previously associated with anaversive stimulus (e.g. shock) and is therefore a reliable measure ofemotional memory. The Morris water maze (MWM) task, a test of spatiallearning and memory, requires that the animal learns the spatiallocations of various extra-maze cues in order to accurately locate anescape platform that is hidden beneath the surface of the water in awater tank. In all of these tasks, the tested compounds improved memory:in passive avoidance, this was true for young mice, and in the MWM task,the compounds significantly improved learning and memory in aged rats.

Importantly, the tested compounds are orally active, and therefore couldbe administered in many forms, including but not limited to tablet orcapsule. These compounds may also be administered IV, intramuscularly,intrathecally, subcutaneously, or intraperitoneally.

Table 2, below, indicates the effects of compounds of the invention in apassive avoidance task (latency to enter the dark/shock compartment asdependent variable). Data were analyzed with One-Way ANOVAs followed byBonferroni-corrected post-hoc measures (required P value dependent uponnumber of comparisons). The table below includes data fromVehicle-treated mice and mice treated with Compound A and Compound B.

All treatments were administered IP immediately post-training. Therewere no significant differences during training (pre-treatment), but thepost-training injections of Compound A and Compound B significantlyimproved memory for the shock-associated environment.

Training Dose latency Testing latency (mg/kg) Day 0 Day 1 Day 4 Day 7Vehicle 8.51 ± 0.95 33.49 ± 8.53  36.15 ± 12.25 9.82 ± 1.93  A 1 14.26 ±2.85  64.34 ± 14.21* 65.52 ± 26.20 54.32 ± 25.75* 10 9.88 ± 1.52 82.58 ±17.18* 58.33 ± 9.49* 47.87 ± 22.67* B 1 6.58 ± 1.01  95.42 ± 24.99**   81 ± 26.81* 43.55 ± 19.01* 10 8.43 ± 2.50 126.27 ± 15.64**  83.4 ±20.11*  56.22 ± 19.62** Overall effects of treatment were determined byrepeated measures ANOVA. Post-hoc Bonferroni tests identifieddifferences between individual treatment groups relative to control:*Indicates P < 0.02 relative to vehicle, **indicates P < 0.01 relativeto vehicle. N = 6/group.Table 3, below, indicates the effects of Compound C in the Morris watermaze task (mean escape latencies across testing days are shown).

Data were analyzed with a Mann-Whitney U Test. Mean escape latencyindicates the group mean over three sessions to escape onto the hiddenplatform. Data are shown for days 7-11 (the water maze training days);animals were dosed twice daily (PO) with 10 mg/kg Compound No. 1 orvehicle (as indicated) on Days 1-6 prior to water maze training.

Mean Escape Latency (sec) Group Treatment Day 7 Day 8 Day 9 Day 10 Day11 Young Vehicle 70.3 ± 3.5  40.2 ± 13.3 23.2 ± 1.7  22.0 ± 4.2 19.9 ±6.2 rats Aged Vehicle 70.7 ± 2.2 47.6 ± 3.7 53.7 ± 4.0**  35.7 ± 0.6* 41.3 ± 4.5** rats Aged Compound C 69.9 ± 4.0 49.3 ± 5.4 41.0 ± 1.8*⋄28.0 ± 2.2 30.4 ± 3.4 rats

Young and aged controls decreased their escape latencies (time to findthe platform) from session to session, indicating that they could learnto locate the hidden platform. Aged controls had longer escape latenciesand path length than young controls during water-maze training,suggesting age-related learning deficits. The effect of age was mainlyobserved during the 3^(rd)-5^(th) training days (Day 9-11). An analysisof variance conducted in control animals supported a statisticallysignificant main effect of age over the training period (ANOVA: F_(Age)(all trials)=15.644; p<0.001).

No clear effects were observed in aged controls on average speed ascompared with young controls (data not shown), suggesting the absence ofmotor impairment in aged rats.

Compound C (10 mg/kg), administered twice daily for 6 days prior to theexperiment and twice daily during the experiment, decreased the escapelatency of aged rats over the training period, as compared with agedcontrols. The effect of Compound C was statistically significant whenpooling the data obtained during the last 3 training sessions. CompoundC did not affect the average speed, as compared with aged controls (datanot shown).

*=p<0.05; **=p<0.01 (aged controls versus young controls). ⋄=P<0.05(aged rats treated with Compound C versus young controls).

Materials And Methods Passive Inhibitory Avoidance

Animals

C57B/6 male mice (20-25 g; n=6-8/group) were used in this study.

Training/Testing

One Day 0, animals were individually placed in the bright side of a2-chambered inhibitory avoidance box. Mice were given 35 seconds toacclimate after which a door between the two compartments was lifted andthe animals were allowed to cross over into the dark compartment. Oncethey crossed over, the gate would close and the animal would receive amild (0.15 mA, 2 sec) footshock. Memory retention for theshock-associated environment was evaluated 24 hours (Day 1), 4 (Day 4)and 7 (Day 7) days later. On each of the three memory retention tests(Days 1, 4, and 7), the mouse was given 15 seconds to acclimate beforethe gate was lifted. Latency to enter the dark (shock) compartment wasmeasured and considered an index of passive fear avoidance. Maximumtrial length=180 sec.

Morris Water Maze

The Morris Maze consisted of a circular water tank (150 cm in diameter)filled with water and maintained at 27° C. with an escape platform (15cm in diameter) 18 cm from the perimeter always in the same position 2cm beneath the surface of the water. The water was made opaque byaddition of a non-toxic coloring agent rendering the platform invisible.The testing was performed under light of moderate intensity.

The animals were given 5 training sessions over 5 consecutive days. Eachtraining session consisted of 3 consecutive trials in the Morris Mazeseparated by 120 seconds. For each trial the animal was placed in themaze at one of two starting points equidistant from the escape platformand allowed to find the escape platform. The animal was left on theescape platform for 60 seconds followed by a 60-second rest in anindividual cage before starting a new trial. If the animal did not findthe platform within 120 seconds, the experimenter removed it from thewater and placed it on the platform for 60 seconds. During the 3 trialsthe animals started the maze from the different starting points in arandomly determined order per animal.

The trials were video-recorded and the behavior of the animals wasanalyzed using a video-tracking system (Panlab: Smart). The principalmeasure taken was the escape latency (time to find the hidden platform)at each trial. Additional measures (path length (distance traveled tofind the hidden platform) and average speed) were also measured.

Aged animals show amnesia in this task as indicated by a lower capacityto reduce their escape latencies from trial to trial.

15 aged rats were studied per group. The experiment also included ayoung control group. The test was performed blind.

Compound C was evaluated at the dose of 10 mg/kg, administered p.o., andcompared with a vehicle control group. The animals received the assignedtreatment twice daily for 6 days prior to water-maze training. Twicedaily administration continued during training, with one administration60 minutes before each training session and the second administrationbetween either 8.30-9.30 am or 4:30-5:30 pm, whichever was furthest fromthe training session for that particular animal.

The experiment therefore included 3 groups.

Data were analyzed by comparing treated groups with aged control usingMann Whitney U tests. In addition, the data were submitted to atwo-factor analysis of variance (with age and session as factors, withrepeated measures for session).

Synthetic Methods For Obtaining the Compounds of the Invention,Experimental

U.S. Patent Application Nos. 60/647,271 (WO/2006/081273; WO/2006/081280;WO/2006/081252 and WO/2006/081276), the disclosure of which isincorporated by reference herein, discloses additional compounds whichmay be utilized in the method of the present invention, and disclosesmethods for their synthesis.

The invention claimed is:
 1. A method for treating a cognitive disorder,the method comprising administering to a patient in need of suchtreatment a therapeutically effective amount of at least one compound ofthe following structure:

an enantiomer, a diastereomer, racemic mixture, or a pharmaceuticallyacceptable salt thereof; where: R₁ and R₂ groups together with thenitrogen form a saturated 5 or 6 membered ring, said 5 or 6 memberedring optionally being substituted with one or two COOH, CH₂OH, OH,B(OH)₂, halogen groups, cyano groups, or with one or two alkyl groupshaving 1 to 6 carbons; R₃ is independently selected from the groupconsisting of H, and alkyl of 1 to 20 carbons; R₄ is H, or alkyl of 1 to6 carbons; the wavy lines represent bonds connected to carbons having Ror S configuration; the dashed lines represent a bond or absence of abond with the proviso that the ring containing the dashed lines isaromatic; m, n and q are independently 1; s is zero (0); X represents N;W, and Y independently represent CH; R₅ and R₆ are independentlyselected from the group consisting of H, halogen, alkyl of 1 to 6carbons, halogen substituted alkyl of 1 to 6 carbons, alkoxy of 1 to 6carbons, thioxy of 1 to 3 carbons, and phenyl; or R₅ and R₆ togetherwith the atoms to which they are attached jointly form a carbocyclicring, the carbocyclic ring having 5 or 6 atoms in the ring; saidcarbocyclic ring jointly formed by R₅ and R₆ and the atoms to which theyare attached being optionally substituted with 1 to 6 R₉ groups where R₉is independently selected from the group consisting of halogen, alkyl of1 to 6 carbons, alkoxy of 1 to 6 carbons and thioxy of 1 to 3 carbons;and wherein said cognitive disorder is associated with aneurodegenerative disease selected from the group consisting ofAlzheimer's disease, corticobasal degeneration, Creutzfeldt-Jacobdisease, frontotemporal lobar degeneration, Huntington disease, multiplesclerosis, normal pressure hydrocephalus, organic chronic brainsyndrome, Parkinson's disease, Pick disease, progressive supranuclearpalsy, and senile dementia (Alzheimer type).
 2. The method of claim 1,wherein R₅ and R₆ together with the atoms to which they are attachedjointly form a carbocyclic ring.
 3. The method of claim 1, wherein R₄ isH.
 4. The method of claim 3, wherein both R₃ groups are H.
 5. The methodof claim 3, wherein R₃ is independently selected from H and alkyl of 1to 10 carbons.
 6. The method of claim 1, wherein R₁ and R₂ together withthe nitrogen form a 5 membered ring.
 7. The method of claim 1, whereinR₁ and R₂ together with the nitrogen form a 6 membered ring.
 8. Themethod of claim 1, wherein both R₅ and R₆ are hydrogen.
 9. A method fortreating a cognitive disorder, the method comprising administering to apatient in need of such treatment a therapeutically effective amount ofat least one compound of the following structure:

or an enantiomer, diastereomer, racemix mixture or a pharmaceuticallyacceptable salt thereof; where: R₁ and R₂ groups together with thenitrogen form a saturated 5 or 6 membered ring, said 5 or 6 memberedring optionally being substituted with one or two COOH, CH₂OH, OH,B(OH)₂, halogen groups, cyano groups or with one or two alkyl groupshaving 1 to 6 carbons; R₃ is H or alkyl of 1 to 1 to 20 carbons; R₄ isH, or alkyl of 1 to 6 carbons; R₅ and R₆ are independently selected fromthe group consisting of H, halogen, alkyl of 1 to 6 carbons, and alkoxyof 1 to 6 carbons or R₅ and R₆ together with the atoms to which they areattached jointly form a carbocyclic ring, the carbocyclic ring having 5or 6 atoms in the ring; said carbocyclic or heterocyclic ring jointlyformed by R₅ and R₆ being optionally substituted with 1 to 6 R₉ groupswhere R₉ is independently selected from halogen, alkyl of 1 to 6carbons, alkoxy of 1 to 6 carbons, and the wavy lines represent bonds ofthe alpha or beta configuration; wherein said cognitive disorder isassociated with a neurodegenerative disease selected from the groupconsisting of Alzheimer's disease, corticobasal degeneration,Creutzfeldt-Jacob disease, frontotemporal lobar degeneration, Huntingtondisease, multiple sclerosis, normal pressure hydrocephalus, organicchronic brain syndrome, Parkinson's disease, Pick disease, progressivesupranuclear palsy, and senile dementia (Alzheimer type).
 10. The methodof claim 9, wherein R₄ is H.
 11. The method of claim 10, wherein both R₃groups are H.
 12. The method of claim 11, wherein both R₅ and R₆ arehydrogen.
 13. The method of claim 9, wherein the compound has theformula

or is an enantiomer, diastereomer, racemic mixture or a pharmaceuticallyacceptable salt thereof.
 14. The method of claim 13, wherein R₄ is H.15. The method of claim 14, wherein both R₃ groups are H.
 16. A methodfor treating a cognitive disorder, the method comprising administeringto a patient in need of such treatment a therapeutically effectiveamount of a compound of the following structure:

or an enantiomer, diastereomer, or a pharmaceutically acceptable saltthereof, wherein said cognitive disorder is associated with aneurodegenerative disease selected from the group consisting ofAlzheimer's disease, corticobasal degeneration, Creutzfeldt-Jacobdisease, frontotemporal lobar degeneration, Huntington disease, multiplesclerosis, normal pressure hydrocephalus, organic chronic brainsyndrome, Parkinson's disease, Pick disease, progressive supranuclearpalsy, and senile dementia (Alzheimer type).
 17. The method of claim 16,wherein the compound is(2S,3S)-2-amino-3-hydroxy-3-(pyridin-3-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 18. The method of claim16, wherein the compound is(2S,3R)-2-amino-3-hydroxy-3-(pyridin-3-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 19. The method of claim16, wherein the compound is(2R,3S)-2-amino-3-hydroxy-3-(pyridin-3-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 20. The method of claim16, wherein the compound is(2R,3R)-2-amino-3-hydroxy-3-(pyridin-3-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 21. A method for treatinga cognitive disorder, the method comprising administering to a patientin need of such treatment a therapeutically effective amount of acompound of the following structure:

or an enantiomer, diastereomer, or a pharmaceutically acceptable saltthereof, wherein said cognitive disorder is associated with aneurodegenerative disease selected from the group consisting ofAlzheimer's disease, corticobasal degeneration, Creutzfeldt-Jacobdisease, frontotemporal lobar degeneration, Huntington disease, multiplesclerosis, normal pressure hydrocephalus, organic chronic brainsyndrome, Parkinson's disease, Pick disease, progressive supranuclearpalsy, and senile dementia (Alzheimer type).
 22. The method of claim 21,wherein the compound is(2S,3S)-2-amino-3-hydroxy-3-(pyridin-4-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 23. The method of claim21, wherein the compound is(2S,3R)-2-amino-3-hydroxy-3-(pyridin-4-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 24. The method of claim21, wherein the compound is(2R,3S)-2-amino-3-hydroxy-3-(pyridin-4-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 25. The method of claim21, wherein the compound is(2R,3R)-2-amino-3-hydroxy-3-(pyridin-4-yl)-1-(pyrrolidin-1-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 26. A method for treatinga cognitive disorder, the method comprising administering to a patientin need of such treatment a therapeutically effective amount of acompound of the following structure:

or an enantiomer, diastereomer, or a pharmaceutically acceptable saltthereof, wherein said cognitive disorder is associated with aneurodegenerative disease selected from the group consisting ofAlzheimer's disease, corticobasal degeneration, Creutzfeldt-Jacobdisease, frontotemporal lobar degeneration, Huntington disease, multiplesclerosis, normal pressure hydrocephalus, organic chronic brainsyndrome, Parkinson's disease, Pick disease, progressive supranuclearpalsy, and senile dementia (Alzheimer type).
 27. The method of claim 26,wherein the compound is(2S,3S)-2-amino-3-hydroxy-1-(piperidin-1-yl)-3-(pyridin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 28. The method of claim26, wherein the compound is(2S,3R)-2-amino-3-hydroxy-1-(piperidin-1-yl)-3-(pyridin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 29. The method of claim26, wherein the compound is(2R,3S)-2-amino-3-hydroxy-1-(piperidin-1-yl)-3-(pyridin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 30. The method of claim26, wherein the compound is(2R,3R)-2-amino-3-hydroxy-1-(piperidin-1-yl)-3-(pyridin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 31. A method for treatinga cognitive disorder, the method comprising administering to a patientin need of such treatment a therapeutically effective amount of acompound of the following structure:

or an enantiomer, diastereomer, or a pharmaceutically acceptable saltthereof, wherein said cognitive disorder is associated with aneurodegenerative disease selected from the group consisting ofAlzheimer's disease, corticobasal degeneration, Creutzfeldt-Jacobdisease, frontotemporal lobar degeneration, Huntington disease, multiplesclerosis, normal pressure hydrocephalus, organic chronic brainsyndrome, Parkinson's disease, Pick disease, progressive supranuclearpalsy, and senile dementia (Alzheimer type).
 32. The method of claim 31,wherein the compound is(2S,3S)-2-amino-3-hydroxy-1-(pyrrolidin-1-yl)-3-(quinolin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 33. The method of claim31, wherein the compound is(2S,3R)-2-amino-3-hydroxy-1-(pyrrolidin-1-yl)-3-(quinolin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 34. The method of claim31, wherein the compound is(2R,3S)-2-amino-3-hydroxy-1-(pyrrolidin-1-yl)-3-(quinolin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 35. The method of claim31, wherein the compound is(2R,3R)-2-amino-3-hydroxy-1-(pyrrolidin-1-yl)-3-(quinolin-4-yl)propan-1-one,or a pharmaceutically acceptable salt thereof.
 36. The method of claim1, wherein said neurodegenerative disease is selected from the groupconsisting of Alzheimer's disease and senile dementia (Alzheimer type).37. The method of claim 9, wherein said neurodegenerative disease isselected from the group consisting of Alzheimer's disease and seniledementia (Alzheimer type).
 38. The method of claim 16, wherein saidneurodegenerative disease is selected from the group consisting ofAlzheimer's disease and senile dementia (Alzheimer type).
 39. The methodof claim 21, wherein said neurodegenerative disease is selected from thegroup consisting of Alzheimer's disease and senile dementia (Alzheimertype).
 40. The method of claim 26, wherein said neurodegenerativedisease is selected from the group consisting of Alzheimer's disease andsenile dementia (Alzheimer type).
 41. The method of claim 31, whereinsaid neurodegenerative disease is selected from the group consisting ofAlzheimer's disease and senile dementia (Alzheimer type).